Ribera Cabeo Inmaculada
Spain
Research Article
Elderly Patients with Non-ST-Elevation Acute Coronary Syndrome: A Proposal to Adapt Decision Making
Author(s): Baldomero Alvarez-Fernandez, M Rosa Bernal-Lopez, Ribera Cabeo Inmaculada, De Mora Martin Manuel, Urbano Carrillo Cristobal, Quesada Garcia Guillermo, Arboleda Juan Andrés, and Gomez-Huelgas Ricardo
Baldomero Alvarez-Fernandez, M Rosa Bernal-Lopez, Ribera Cabeo Inmaculada, De Mora Martin Manuel, Urbano Carrillo Cristobal, Quesada Garcia Guillermo, Arboleda Juan Andrés, and Gomez-Huelgas Ricardo
The guidelines recommend invasive treatment (coronary angiography) in elderly patients with non-ST-elevation acute coronary syndrome (NSTE-ACS) with a moderate and high risk of re-infarction or death. The invasive approach has been found to be more effective in older and higher risk patients. The aim of this study was twofold: first, to determine whether the recommendations of current guidelines are followed for elderly patients with NSTE-ACS in our hospital; and second, to reach agreement among professionals responsible for the care of these patients (cardiologists, geriatricians, internists, specialists in emergency and critical care) on criteria that could enable the correct identification of the limitations of invasive management. Consistent with other studies and records in Spain and in neighbouring countries we found a tendency to deprive many patients of invasive treatment due .. View More»
DOI:
10.4172/2167-7182.1000227